Florida / HCA Florida Lake City Hospital
CMS certification 100156 · Lake City, FL · 4 entries in CMS's price-transparency list
HCA Florida Lake City Hospital: charges and Medicare payments
HCA Florida Lake City Hospital reported 1,786 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 5.94 times what it was paid — mid-range in Florida, number 99 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 257 stays at an average charge of $92,431, 2% above the national average. It also billed 587 outpatient services, charging 16.66 times what Medicare paid.
- 1Medicare inpatient stays 1,786
- 2Charge ÷ paid, inpatient 5.94×
- 3Rank in FL (highest ratio = 1) 99 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 52 DRGs that can be compared with the national average, HCA Florida Lake City Hospital charged more than the national average in 46 (88%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 257 | $92,431 | +2% | $18,315 |
| 291 Heart Failure and Shock with MCC | 187 | $63,042 | +12% | $12,041 |
| 193 Simple Pneumonia and Pleurisy with MCC | 100 | $64,097 | +7% | $12,296 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $78,704 | +11% | $17,476 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $56,399 | +52% | $7,261 |
| 682 Renal Failure with MCC | 52 | $79,239 | +20% | $13,905 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 51 | $65,464 | +63% | $7,285 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 46 | $97,376 | +28% | $15,258 |
| 683 Renal Failure with CC | 44 | $57,845 | +42% | $8,256 |
| 884 Organic Disturbances and Intellectual Disability | 41 | $59,827 | -4% | $16,148 |
| 313 Chest Pain | 40 | $47,396 | +19% | $6,705 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $68,162 | +13% | $12,453 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 38 | $46,611 | +29% | $6,914 |
| 312 Syncope and Collapse | 38 | $64,048 | +41% | $8,038 |
| 690 Kidney and Urinary Tract Infections without MCC | 38 | $56,707 | +50% | $7,489 |
| 305 Hypertension without MCC | 33 | $47,441 | +18% | $7,341 |
| 812 Red Blood Cell Disorders without MCC | 33 | $53,803 | +21% | $8,552 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $53,449 | -7% | $12,075 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $72,753 | +48% | $10,148 |
| 389 Gastrointestinal Obstruction with CC | 30 | $68,085 | +75% | $8,226 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $72,698 | +42% | $10,887 |
| 194 Simple Pneumonia and Pleurisy with CC | 28 | $60,277 | +57% | $7,620 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 25 | $135,887 | 0% | $24,957 |
| 069 Transient Ischemia without Thrombolytic | 24 | $66,852 | +33% | $7,414 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $95,572 | +89% | $8,469 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 22 | $49,510 | +25% | $10,223 |
| 638 Diabetes with CC | 22 | $55,410 | +33% | $8,422 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $84,590 | +15% | $15,278 |
| 811 Red Blood Cell Disorders with MCC | 22 | $69,957 | +3% | $13,000 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $79,264 | +42% | $10,405 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $276,134 | +21% | $48,096 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $54,348 | +7% | $11,063 |
| 603 Cellulitis without MCC | 19 | $48,417 | +30% | $10,991 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $209,886 | +83% | $18,847 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $122,457 | +92% | $10,049 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 17 | $37,189 | +29% | $5,148 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 17 | $67,173 | -10% | $14,852 |
| 149 Dysequilibrium | 14 | $69,024 | +55% | $6,937 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $136,784 | +22% | $20,113 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $72,022 | +18% | $11,888 |
| 057 Degenerative Nervous System Disorders without MCC | 13 | $79,882 | +41% | $12,580 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $81,949 | -18% | $18,396 |
| 091 Other Disorders of Nervous System with MCC | 12 | $75,939 | -8% | $16,605 |
| 101 Seizures without MCC | 12 | $64,782 | +33% | $8,511 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $249,041 | +52% | $31,039 |
| 390 Gastrointestinal Obstruction without CC/MCC | 12 | $52,380 | +87% | $5,179 |
| 552 Medical Back Problems without MCC | 12 | $76,254 | +56% | $8,968 |
| 637 Diabetes with MCC | 12 | $79,089 | +19% | $13,962 |
| 092 Other Disorders of Nervous System with CC | 11 | $59,477 | +15% | $9,493 |
| 303 Atherosclerosis without MCC | 11 | $47,956 | +36% | $6,131 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $56,771 | +20% | $9,443 |
| 945 Rehabilitation with CC/MCC | 11 | $67,436 | +21% | $14,080 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 177 | $36,468 | $2,644 |
| Level 1 Endovascular Procedures | 87 | $71,923 | $3,140 |
| Level 5 Musculoskeletal Procedures | 68 | $125,077 | $12,749 |
| Level 4 Musculoskeletal Procedures | 59 | $78,158 | $6,940 |
| Level 3 Musculoskeletal Procedures | 54 | $49,026 | $3,140 |
| Level 1 Laparoscopy and Related Services | 38 | $104,472 | $5,480 |
| Level 3 Vascular Procedures | 32 | $37,233 | $3,015 |
| Level 2 Musculoskeletal Procedures | 21 | $23,620 | $1,522 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $16,578 | $1,573 |
| Level 2 Vascular Procedures | 12 | $15,496 | $1,554 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $28,675 | $2,757 |
| Level 3 Endovascular Procedures | 11 | $173,270 | $10,662 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Lake City Hospital charged $92,431 on average, 18% less than the Florida average of $112,838, and was paid $18,315 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Lake City Hospital charged $63,042 on average, 7% less than the Florida average of $67,659, and was paid $12,041 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Lake City Hospital charged $64,097 on average, 18% less than the Florida average of $78,292, and was paid $12,296 against a state average of $10,939. For Respiratory Infections and Inflammations with MCC (DRG 177), HCA Florida Lake City Hospital charged $78,704 on average, 8% less than the Florida average of $85,454, and was paid $17,476 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,468 was 28% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $71,923 was 72% above the state average of $41,880. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $125,077 was 17% above the state average of $106,979. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $78,158 was 5% above the state average of $74,087.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Lake City Hospital in Lake City, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 504)
- CAP Request — 2022-11-02 (CMS case 504)
- Closure Notice — 2023-07-13 (CMS case 504)
- Met Requirements — 2025-05-02 (CMS case 4272)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.